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孕妇对分娩唐氏儿和羊膜腔穿刺的接受度调查
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作者 孙筱 孙丽洲 王珏 《中国产前诊断杂志(电子版)》 2008年第2期22-26,共5页
目的本研究调查孕妇对'分娩唐氏儿'和'羊膜腔穿刺所致流产'的接受程度,以指导产前诊断和遗传咨询工作。方法在知情同意的基础上,对140例主动要求唐氏综合征筛查的孕妇(A组)及97例普通产科门诊未行唐氏综合征筛查的孕妇(... 目的本研究调查孕妇对'分娩唐氏儿'和'羊膜腔穿刺所致流产'的接受程度,以指导产前诊断和遗传咨询工作。方法在知情同意的基础上,对140例主动要求唐氏综合征筛查的孕妇(A组)及97例普通产科门诊未行唐氏综合征筛查的孕妇(B组)分别进行单独的书面问卷调查。比较两组间人口学资料的差异。采用标准博弈法量化孕妇对'羊膜腔穿刺所致流产'和'分娩唐氏儿'的接受程度,结果以效用值表示,并比较两组间差异。结果共227例(其中A组137例,B组90例)完成整个问卷调查。'分娩唐氏儿'的效用值为0.50(IQR:0.10~0.70),而'羊膜腔穿刺所致流产'的效用值为0.75(IQR:0.50~0.90),前者明显低于后者(P【0.05)。同时,提示效用值与人口学资料无关。结论孕妇对'分娩唐氏儿'比'羊膜腔穿刺所致流产'更难以接受。在进行产前筛查或诊断的临床决策时,应充分考虑孕妇本人的意愿和想法。 展开更多
关键词 接受程度 唐氏综合征 羊膜腔穿刺 标准博弈法 效用值
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miR-200c在复发性流产患者绒毛组织中的表达及其对滋养细胞的影响 被引量:5
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作者 张艳 郑红云 +3 位作者 童永清 周方元 王京伟 李艳 《医学分子生物学杂志》 CAS 2019年第1期76-80,共5页
目的探讨miR-200c在复发性流产(recurrentmiscarriage,RM)患者绒毛组织中表达以及其对滋养细胞凋亡、侵袭及迁移能力的影响。方法使用qRT-PCR法检测RM患者及对照组(人工流产患者)的绒毛组织中miR-200c的表达情况;并以miR-200c模拟物和... 目的探讨miR-200c在复发性流产(recurrentmiscarriage,RM)患者绒毛组织中表达以及其对滋养细胞凋亡、侵袭及迁移能力的影响。方法使用qRT-PCR法检测RM患者及对照组(人工流产患者)的绒毛组织中miR-200c的表达情况;并以miR-200c模拟物和抑制物转染滋养细胞系HTR-8和JAR,观察其对滋养细胞凋亡、迁移及侵袭能力的影响。结果RM患者绒毛组织中miR-200c的表达水平显著高于对照组。体外予以miR-200c模拟物转染HTR-8/SVneo后,凋亡细胞比例增加,且细胞的侵袭、迁移能力显著降低;予以miRNA-200c抑制物转染后,凋亡细胞显著降低,且细胞的侵袭及迁移能力显著增加。结论miR-200c在RM患者绒毛组织中表达显著增加,其可能通过影响滋养细胞的凋亡、迁移及侵袭,从而影响胎盘发育,参与RM的发病过程。 展开更多
关键词 复发性流产 MIR-200C 滋养细胞 迁移 侵袭
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Aspirin Enhances the Protective Effect of Progesterone on Trophoblast Cell from Oxidative Stress and Apoptosis
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作者 Jia-Wei Shi Hui-Li Yang +6 位作者 Zhen-Zhen Lai Hui-Hui Shen Lu-Yu Ruan Yan Wang Xue-Min Qiu Feng Xie Ming-Qing Li 《Reproductive and Developmental Medicine》 CSCD 2021年第1期1-8,共8页
Objective:Clinically,low-dose aspirin and progesterone are frequently used to prevent pregnancy loss.We investigated the effect of these drugs on the biological behavior of human extravillous trophoblasts in vitro.Met... Objective:Clinically,low-dose aspirin and progesterone are frequently used to prevent pregnancy loss.We investigated the effect of these drugs on the biological behavior of human extravillous trophoblasts in vitro.Methods:HTR-8/SVneo cells were cultured in vitro and treated with different concentrations of aspirin and progesterone.The proliferation,invasion,and apoptosis of HTR-8/SVneo cells were assessed using a cell counting Kit-8 assay,Matrigel Transwell assay,and Hoechst staining,respectively.Reverse transcriptase polymerase chain reaction was used to verify the expression of related genes.Reactive oxygen species(ROS)levels were detected using the 2,7-dichlorofluorescin diacetate assay.Results:Low-dose aspirin alone,progesterone alone,or aspirin plus progesterone upregulated the proliferation and invasion and decreased the apoptosis of HTR-8/SVneo cells.Moreover,the expression of marker of proliferation Ki-67(MKI67),matrix metalloproteinases 2(MMP2),and MMP9 was increased.In addition,low-dose aspirin plus progesterone exerted stronger anti-apoptosis effects than low-dose aspirin and progesterone alone.Interestingly,aspirin upregulated the expression of progesterone receptor(PGR).Treatment with hydrogen peroxide(H_(2)O_(2))promoted ROS production in HTR-8/SVneo cells;however,low-dose aspirin plus progesterone significantly restricted H_(2)O_(2)-mediated ROS production and apoptosis in HTR-8/SVneo cells.Conclusions:These data suggest that low-dose aspirin and progesterone promote proliferation and invasion and cooperatively reduce oxidative stress and apoptosis in trophoblasts in vitro.These results may provide an experimental basis for the combined application of aspirin and progesterone to prevent unexplained recurrent spontaneous miscarriage,especially in patients with trophoblast dysfunction. 展开更多
关键词 APOPTOSIS ASPIRIN invasion miscarriage PROGESTERONE Progesterone Receptor Proliferation Reactive Oxygen Species TROPHOBLASTS
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